Deck 44: Nursing Care of Patients With Sexually Transmitted Diseases

Question 1

Human papillomavirus (HPV) produces verrucous growths. What term can the nurse use to describe these lesions to the patient?

A)Warts
B)Rashes
C)Blisters
D)Papules

Answer 1

Warts

Question 2

The nurse is teaching a patient the importance of completing treatment for gonorrhea. The nurse bases teaching on which of the following understandings?

A)Gonorrhea is not treatable.
B)Treatment is associated with many serious side effects, so compliance is low.
C)Only men experience symptoms; women are usually asymptomatic.
D)Men and women may be asymptomatic and still transmit the disease.

Answer 2

Men and women may be asymptomatic and still transmit the disease.

Question 3

The nurse is providing care for a patient with genital herpes who has vesicular lesions. What term can the nurse use to describe these lesions to the patient?

A)Warts
B)Rashes
C)Blisters
D)Papules

Answer 3

Blisters

Question 4

The nurse is caring for a young woman who is newly diagnosed with genital warts. She states, "I heard you can get cancer from STDs. Is that true?" Which of the following responses by the nurse is correct?

A)"No, you cannot get cancer from STDs."
B)"No, that is not true, but a diagnosis of cancer does increase the risk of contracting an STD."
C)"Yes, most STDs can lead to cancerous changes if not treated promptly."
D)"Yes, some STDs have been linked to cancer, so adequate treatment is very important."

Question 5

Which of the following is a parasite transmitted from the genitals of one individual to the genitals of another through close contact?

A)Phthirus pubis
B)Neisseria gonorrhoeae
C)Treponema pallidum
D)Chlamydia trachomatis

Question 6

A patient asks why the physician has recommended systemic interferon treatment for genital warts. Which explanation by the nurse of its advantages is best?

A)"Interferon treatment does not have any side effects."
B)"Interferon can improve liver function."
C)"Interferons can increase your red blood cell count."
D)"Interferon therapy can attack warts all over the body at the same time."

Question 7

A woman diagnosed with hepatitis B virus (HBV) delivers a 6-pound 2-ounce baby boy. Which of the following actions should the nurse anticipate will be provided to the infant?

A)HBV-immune globulin less than 12 hours after birth and then HBV vaccine series
B)Intravenous antibiotics for 12 hours
C)Antiviral eye medication less than 2 hours after birth
D)There is no treatment that is safe and effective for infants.

Question 8

Gummas are associated with which sexually transmitted disease (STD)?

A)Syphilis
B)Gonorrhea
C)Chlamydia
D)Genital herpes

Question 9

The nurse is collecting data on a patient with Chlamydia. Which assessment finding should be reported immediately to the RN or physician?

A)Vaginal discharge
B)Painful urination
C)Sharp pain at the base of the ribs
D)Red conjunctivae

Question 10

Which nonsexual activity should the nurse teach patients may transmit a sexually transmitted disease (STD)?

A)Sharing a cigarette
B)Coughing and sneezing
C)Sharing intravenous drug equipment
D)Borrowing a hairbrush

Question 11

Development of a chancre is a sign of which sexually transmitted disease?

A)Herpes
B)Syphilis
C)Gonorrhea
D)Chlamydia

Question 12

The nurse is assisting with teaching a 22-year-old female patient who is diagnosed with a sexually transmitted disease (STD). She says, "I don't understand. My boyfriend always wears a condom." Which understanding by the nurse should guide teaching in this situation?

A)It is a myth that condoms provide any protection against STDs.
B)Condoms are a reliable source of protection against STDs.
C)Condoms can decrease the risk of STDs, but they are not foolproof.
D)Condoms must be used with a spermicide to guarantee protection against STDs.

Question 13

The nurse must bathe a patient with herpes. What is the nurse's best protection against contracting sexually transmitted diseases (STDs) from patients while providing perineal hygiene?

A)Practicing standard precautions
B)Washing hands following care
C)Wearing gloves at all times
D)Avoiding touching patients who have STDs

Question 14

The nurse is assisting with the admission of a known intravenous drug abuser to a medical unit. In addition to drug abuse, which disorder in the patient's history is most consistent with a diagnosis of hepatitis?

A)Chronic headaches
B)Jaundice
C)Diabetes mellitus
D)Bowel obstruction

Question 15

The nurse is caring for a pregnant woman who voices fear that her unborn child could be blind. The nurse should base a response on the understanding that which of the following sexually transmitted diseases (STDs) can cause ophthalmia neonatorum?

A)Syphilis
B)Gonorrhea
C)Genital warts
D)Genital herpes

Question 16

Which statement by the patient related to preventing condom breakage during use indicates to the nurse that more teaching is necessary?

A)"I should use a water-soluble lubricant."
B)"I should make sure to leave a half inch extra space at the end of the condom."
C)"Before I use a condom I should inflate it and check it for holes and leaks."
D)"Condoms should never be reused."

Question 17

What behavior method is most likely to prevent a sexually transmitted disease (STD)?

A)Prophylactic oral antibiotics
B)Oral contraceptives
C)Abstinence
D)Condom with spermicide

Question 18

A patient diagnosed with Trichomonas asks the nurse about how the diagnosis will affect her risk for cervical cancer. Which of the following responses by the nurse is best?

A)"Wet-mount slides should be done yearly to help detect cervical cancer."
B)"Papanicolaou smears should be done more frequently because results may be altered by Trichomonas."
C)"Serological testing will be done to detect tumor proteins and screen for cervical cancer."
D)"Culture and sensitivity testing is done with Papanicolaou (Pap) smears every other year to determine if you have cervical cancer."

Question 19

Because Trichomonas is relatively large and unusually shaped, it may be diagnosed quickly by what method?

A)Culture
B)Blood test
C)Wet mount
D)Litmus paper

Question 20

What should the nurse teach about the relationship between consumption of alcohol and immediate risk of contracting a sexually transmitted disease (STD)?

A)Alcohol increases risk for liver disease.
B)Alcohol may reduce inhibitions.
C)Alcohol lowers the body's resistance to infection.
D)Alcohol impairs the integrity of the mucous membranes, providing a portal of entry for infection.

Question 21

Which information about the use of condoms should be included when teaching a patient about sexually transmitted disease (STD) prevention? Select all that apply?

A)Condoms can decrease the risk of transmitting STDs.
B)Use of a water-soluble lubricant with a condom increases its effectiveness in preventing the spread of an STD.
C)Use of a petroleum-based lubricant with a condom increases its effectiveness in preventing the spread of an STD.
D)Latex condoms are less likely to break than other types.
E)Condoms should be used no more than twice and then discarded properly.
F)Inflating the condom prior to use allows for effective inspection.

Question 22

What is the most commonly diagnosed sexually transmitted disease (STD) in the United States?

A)Human papillomavirus
B)Gonorrhea
C)Chlamydia
D)Trichomoniasis
Multiple Response
Identify one or more choices that best complete the statement or answer the question.

Question 23

The nurse is assisting in the care of a patient recently diagnosed with a sexually transmitted disease (STD). The nurse counsels the patient about notification of sexual partners. Which of the following statements by the patient indicates the need for further teaching? (Select all that apply.?

A)"I can contact my sexual partners myself."
B)"Reporting regulations are the same throughout the country."
C)"The public health authority can notify a list of sexual contacts without including my identity."
D)"A report form will be completed in my chart that includes a list of my sexual contacts."

Question 24

A patient is undergoing treatment that involves the burning of lesions with heat or chemical agents. The nurse recognizes that this patient most likely has which of the following conditions?

A)Syphilis
B)Chlamydia
C)Hepatitis B
D)Genital warts

Question 25

The nurse is assisting with teaching a patient who has been exposed to hepatitis B. Which symptoms should the nurse relate may be present in a patient with hepatitis B before jaundice appears? (Select all that apply.?

A)Confusion
B)Nausea
C)Dark-colored urine
D)Elevated blood glucose
E)Rash
F)Muscle or joint pain

Question 26

A 24-year-old woman diagnosed with Chlamydia has been prescribed doxycycline. What should be included in the nurse's teaching about the drug treatment? (Select all that apply.?

A)"Take this drug with a meal."
B)"Avoid unnecessary exposure to sunlight."
C)"Use birth control methods to ensure you do not become pregnant."
D)"Do not take with dairy products."
E)"Abstain from alcohol for at least 48 hours after treatment."

Question 27

The nurse is providing care for a patient recently diagnosed with Chlamydia. Which information would the nurse recommend be included in patient teaching? (Select all that apply.?

A)"Chlamydia is characterized by the development of chancres."
B)"Chlamydia can be transmitted sexually and by blood and body fluid contact."
C)"Women with Chlamydia may complain of a sore throat."
D)"Ophthalmia neonatorum is seen in infants born to women with Chlamydia."
E)"The Chlamydia virus can lie dormant in the nervous system tissues and reactivate when an individual is under stress or has a compromised immune system."
F)"The risk of ectopic pregnancy is increased in women with a history of Chlamydia."

Question 28

What pathogen causes genital warts?

A)Sarcoptes scabiei
B)Hepatitis A and B
C)Chlamydia trachomatis
D)Human papillomavirus

Question 29

What diagnostic tests are commonly used to diagnose syphilis? (Select all that apply.?

A)VDRL
B)Culture
C)ELISA
D)RPR
E)NAT
F)CD4 counts

Question 30

The nurse is caring for a 76-year-old retired man who is undergoing evaluation for dementia. Which of the following would be an important part of the man's history to report to the physician?

A)The patient has a history of syphilis.
B)The patient was exposed to Chlamydia.
C)The patient has a history of hepatitis B.
D)The patient has a history of genital warts.

Question 31

The nurse is providing care for a newborn. Which of the following interventions will the nurse take to prevent development of ophthalmia neonatorum?

A)Vitamin K injection
B)Interferon injection
C)Antibiotic eyedrops
D)Hepatitis B virus (HBV)-immune globulin

Question 32

A "strawberry cervix" is characteristic of which sexually transmitted disease (STD)?

A)Herpes simplex
B)Gonorrhea
C)Human papillomavirus infection
D)Trichomoniasis